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Case #55

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患者信息: 42 岁, 男性
检查指征: Followup, prior left frontal tumor resection

Case #55

影像所见

  • Extensive plaque-like dural thickening and enhancement with multiple intermixed discrete dural-based masses
  • Enhancing lesions in the bilateral internal auditory canals, larger on the right
  • Amorphous enhancing lesion along the posterior intraorbital left optic nerve near the orbital apex
  • Enhancing soft tissue in the left Meckel's cave extending into the left foramen ovale
  • Partially imaged enhancing lesions involving the upper cervical spinal cord
  • Prior high left frontoparietal craniotomy with subjacent encephalomalacia in the posterior aspect of the left superior frontal gyrus
  • Additional small area of encephalomalacia in the posterior left frontal periventricular white matter with central susceptibility artifact
  • The cerebellar tonsils extend up to 8 mm inferior to the foramen magnum with associated mild crowding of the cervicomedullary junction
  • Empty, expanded appearance of the sella
  • Asymmetric atrophy of the right muscles of mastication

诊断

Meningiomatosis, schwannomas, and ependymomas in neurofibromatosis type 2

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